Healthcare Provider Details

I. General information

NPI: 1184138976
Provider Name (Legal Business Name): DEBORAH LYNNE KLEINSMITH MORRIS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH LYNNE HENDRICKSON PSY.D.

II. Dates (important events)

Enumeration Date: 12/01/2017
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1443 CROSSINGS CENTER DR STE A
FOREST VA
24551-5081
US

IV. Provider business mailing address

411 MILL LANE RD
LYNCHBURG VA
24503-1703
US

V. Phone/Fax

Practice location:
  • Phone: 434-219-5621
  • Fax:
Mailing address:
  • Phone: 434-941-8824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810002153
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: